Provider Demographics
NPI:1306659800
Name:FRANKLIN, NIKITA (LPN)
Entity type:Individual
Prefix:
First Name:NIKITA
Middle Name:
Last Name:FRANKLIN
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32851 FAIRGROVE ST
Mailing Address - Street 2:
Mailing Address - City:NEW HAVEN
Mailing Address - State:MI
Mailing Address - Zip Code:48048-3305
Mailing Address - Country:US
Mailing Address - Phone:410-917-7714
Mailing Address - Fax:
Practice Address - Street 1:32851 FAIRGROVE ST
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:MI
Practice Address - Zip Code:48048-3305
Practice Address - Country:US
Practice Address - Phone:410-917-7714
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-29
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4703101140164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse